Insurer ordered to pay $2,200 for chronic pain assessment deemed reasonable and necessary following accident.
The applicant was injured in a motor vehicle accident and sought payment for a $2,200 chronic pain assessment.
The insurer denied the benefit, arguing the applicant's ongoing pain was related to her pre-existing Crohn's disease rather than the accident.
The Tribunal found the assessment was reasonable and necessary, noting the applicant had no history of such pain prior to the accident and had consistently sought treatment for over a year.
The Tribunal ordered the insurer to pay the cost of the assessment plus interest.
OLATOntario Licence Appeal TribunalJan 14, 2020